IndividualActive
Stephen Moon, M.D.
NPI 1003890997 · Emergency Medical Services (Emergency Medicine) Physician · Forest Grove, OR
Provider details
- NPI number
- 1003890997
- Entity type
- Individual
- Primary specialty
- Emergency Medical Services (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD17858 (OR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3838 Pacific Ave
Forest Grove, OR 97116-2224
Phone: (503) 992-0288
Fax: (503) 359-4742
Approximate (ZIP-level) locationGet directions
Mailing address
16788 Sw Sarala St
Aloha, OR 97007-6572
Registry dates
- Enumerated
- 2005-12-03
- Last updated
- 2013-07-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.